Individual
CANDACE MARIE ELLERBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16811 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-3404
(360) 735-8100
(360) 253-1781
Mailing address
6915 WEST AVE, CASTLE HILLS, TX 78213-1822
(210) 341-1487
(210) 341-0442
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
671071
TX
363LF0000X
Family Nurse Practitioner
Primary
671071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
671071
REGISTERED NURSE
TX
Enumeration date
07/26/2011
Last updated
02/17/2020
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